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General NPI Number Information
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NPI Number | 1669570172
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Entity Type | Organization
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Legal Business Name | COMFORT & CARE MEDICAL SUPPLIES, INC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 515 E 1ST ST
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City | HUMBLE
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State | TX
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Zip | 77338-4604
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Country | US
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Telephone | 713-450-4155
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Fax | 713-450-4177
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Provider Business Mailing Address
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Address Line | 515 E 1ST ST
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City | HUMBLE
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State | TX
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Zip | 77338-4604
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Country | US
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Telephone | 713-450-4155
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Fax | 713-450-4177
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL/OWNER
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Name | JERRETT BEAN
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Credential |
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Telephone | 512-450-4155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 0033422
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0033422
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0033422
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License Number State | TX
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